NPI | 1649779216 |
---|---|
Doing Business As | CORE PAIN & WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | JEFF DYBIEC CEO 918-701-2300 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
Enumeration Date | 2018-02-08 |
Last Update Date | 2023-01-05 |